Individual
MRS. LORI JOLENE STRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.ED.
Contact information
Practice address
276C LAMB RD, MADISONVILLE, KY 42431-8509
(270) 821-5952
(270) 821-0484
Mailing address
276C LAMB RD, MADISONVILLE, KY 42431-8509
(270) 821-5952
(270) 821-0484
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
TEACHING CERTIFICATE
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00676
FIRST STEPS PROVIDER #
KY
Enumeration date
05/02/2007
Last updated
07/08/2007
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